Individual
IMAD ZALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9951 POLK ST NE APT 301, BLAINE, MN 55434-2690
(612) 806-9643
Mailing address
9951 POLK ST NE APT 301, BLAINE, MN 55434-2690
(612) 806-9643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126472
MN
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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